Individual provider Active NPI

Marissa Catalanotto, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ronkonkoma, NY
National Provider Identifier
1548899404
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
337840-01 Issued in NY
Practice address
640 Hawkins Ave
Ronkonkoma, NY 11779-2324
Phone
(631) 730-7970
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 337840-01 NY Primary

Addresses

Primary practice location

640 Hawkins Ave
Ronkonkoma, NY 11779-2324

Mailing address

PO Box 52463
Phoenix, AZ 85072-2463
Phone (631) 730-7970

Other practice location 1

700 Stewart Ave Ste 203
Garden City, NY 11530-4726
Phone (631) 730-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202002026 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4688167323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Spine Medicine and Surgery PLLCGroup PAC ID 0941614341, 7 clinicians

Practice addresses (Care Compare)

700 Stewart Ave
Suite 203
Garden City, NY 11530-4721
Phone (631) 730-7970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
337840-01NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Spine Medicine and Surgery PLLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

285 Sills Rd
Bldg 5-6G
East Patchogue, NY 11772
Phone (631) 654-0335

700 Stewart Ave
Ste 203
Garden City, NY 11530
Phone (631) 730-7970

640 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 737-0100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1548899404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52463",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722463",
            "telephone_number": "631-730-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HAWKINS AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792324",
            "telephone_number": "631-730-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Stewart Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304726",
            "country_code": "US",
            "telephone_number": "631-730-7970",
            "fax_number": "631-730-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATALANOTTO",
        "first_name": "MARISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "337840-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.